改良三角吻合技术在全腹腔镜胃癌根治术的临床体会

Clinical experience of modified triangular anastomosis in total laparoscopic radical gastrectomy

目的研究探讨远端胃癌患者采用全腹腔镜三角吻合术进行消化道重建方式进行治疗的临床效果。方法回顾性分析深圳市龙岗中心院普外科在2014年1月至2017年1月远端胃癌患者接受手术治疗的51例,其中治疗组21例,对照组30例。对照组采用传统腹腔镜辅助下远端胃切除术方式进行治疗,治疗组采用三角吻合全腹腔镜远端胃癌根治术方式进行治疗;比较两组的围手术期并发症、手术时间及术后住院时间等。结果两组的手术时间和术后住院时间比较,治疗组均短于对照组,差异有统计学意义(P<0.05);治疗组术后仅有1例出现不良事件,少于对照组的5例,差异有统计学意义(P<0.05);治疗组术前、术后的疼痛程度VAS评分的改善幅度大于对照组,差异有统计学意义(P<0.05)。结论远端胃癌患者采用全腹腔镜三角吻合技术在消化道重建中进行治疗,能够减少不良事件,保证手术安全,缩短治疗时间,尤其是肥胖的患者。

Objective To study the clinical effect of the treatment of patients with gastric cancer treated with laparoscopic distal gastrectomy for gastric cancer. Methods A total of 51 patients with gastric cancer who had been treated in our hospital for a period of time were randomly divided into control group and treatment group,there were 21 cases in treatment group and 30 cases in control group. The control group used traditional methods for distal assisted laparoscopic gastrectomy treatment; treatment group with triangular anastomosis totally laparoscopic distal gastrectomy for treatment. Results The treatment group of patients with gastric cancer operation time and postoperative hospitalization treatment time was shorter than the control group,the difference was significant（ P〈0. 05）; only 1 cases of perioperative adverse events,fewer than 5cases in the control group,significant difference between groups（ P〈0. 05） disease; before and after surgery pain VAS scores improved significantly higher than that in the control group,significant difference（ P〈0. 05）. Conclusions The treatment of patients with gastric cancer by laparoscopic surgery with triangular anastomosis is a good way to reduce adverse events,to ensure the safety of surgery and shorten the treatment time.